Topiramate 25 mg. 30 tablets

Topiramate 25 mg. 30 tablets
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What is Topiramate Accord and what it is used
Topiramate belongs to a group of medicines used to treat epilepsy. Used:
alone to treat seizures in adults and children 6 years of age;
in combination with other medicines to treat seizures in adults and children over 2 years of age;
for the prevention of migraine headaches in adults.

2. Before you take Topiramate Accord
Do NOT take Topiramate Accord:
if you are allergic (hypersensitive) to topiramate or any of the other ingredients of Topiramate (see. section 6, Further information);
for the prevention of migraine headaches if you are pregnant, think you may be pregnant or are at an age where you can get pregnant and you can not use an effective method of contraception.
If you are not sure if the above applies to you, talk to your doctor or pharmacist before using Topiramate Accord.

Take special care with Topiramate Accord
Tell your doctor or pharmacist before taking topiramate if any of the following circumstances applies to you:
have kidney problems, especially kidney stones, or are on hemodialysis;
have inherited blood abnormality and abnormality of body fluids (metabolic acidosis);
have liver problems;
have eye problems, especially glaucoma
have a problem with growth;
you're on a diet high in fat (ketogenic diet);
you are pregnant or may become pregnant (see section "Pregnancy and lactation" for more information).
If you are not sure if the above applies to you, talk to your doctor or pharmacist before using Topiramate Accord.
It is important not to stop taking your medication without talking to your doctor first with your doctor.
Also, you should talk to your doctor before taking any medicine that contains Topiramate Accord, which you have been given as an alternative to Topiramate Accord.
You can lose weight if you use Topiramate Accord so your weight should be checked regularly while using this medicine. If you lose too much weight or a child using this medicine is not enough body weight, you should consult your doctor.
A small number of people who were treated with antiepileptic drugs such as topiramate Accord had thoughts about to injure or kill. If you ever have these thoughts, immediately contact your doctor.

Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines that are available without prescription, vitamins and herbal remedies. Topiramate Accord and certain other medicines can affect. Sometimes the dose of some of your other medicines or Topiramate Accord should be changed.

Necessarily tell your doctor or pharmacist if you are taking:
other drugs that deplete or decrease your thinking, concentration, or muscle coordination (eg. drugs that depress the central nervous system by means of relaxing muscles and soothing);
birth control pills. Topiramate Accord can make your birth control pills less effective.
Tell your doctor if your monthly cycle changes, while taking birth control pills and topiramate Accord.
Keep a list of all the medicines you are taking. Show this list to your doctor and pharmacist before taking a new drug.
Other drugs that you should discuss with your doctor or pharmacist include other antiepileptic drugs, risperidone, lithium, hydrochlorothiazide metmorfin, pioglitazone, glyburide, amitriptyline, propranol, diltiazem, venlafaxine, flunarizine.
If you are not sure if the above applies to you, talk to your doctor or pharmacist before using Topiramate Accord.

Adoption of Topiramate Accord with food and drink
You can take Topiramate Accord with or without food.
It is not recommended to drink alcohol while taking Topiramate Accord, as this may increase the risk of side effects.
It is very important to take plenty of water while taking Topiramid Accord, especially if you exercise or hot weather.

Pregnancy and lactation
Talk to your doctor before using Topiramate Accord if you are pregnant, trying to become pregnant or breast-feeding. Your doctor will decide whether you can take Topiramate Accord. As with other antiepileptic drugs, there is a risk of harm to the unborn child if Topiramate Accord used during pregnancy. Make sure you are very aware of the risks and benefits of using Topiramate Accord for epilepsy during pregnancy.
You should not take Topiramate Accord to prevent migraine if you are pregnant or may become pregnant and are not using an effective method of birth control.
Mothers who breast-feed while taking Topiramate Accord should inform your doctor as soon as possible if you experience unusual baby.
Ask your pharmacist or doctor for advice before taking any medicine.

Driving and using machines
During treatment with Topiramate Accord may appear dizziness, tiredness and vision problems. Do not drive or use any tools or machines without talking to your doctor first.

Important information about some of the ingredients of Topiramate Accord
This medicinal product contains lactose. If your doctor has told you that you have an intolerance to some sugars, contact before taking this medicine.

Each bottle of tablets containing a desiccant capsule. This is a small metal box on which is written "Do not eat." Do not eat it.

3. How to take Topiramate Accord
Always take Topiramate Accord exactly as your doctor has instructed. You should check with your doctor or pharmacist if you are unsure.
Take topiramate exactly as prescribed. Your doctor will usually start with a small dose of topiramate and slowly increase your dose until find the best dose for you.
Topiramate tablets should be swallowed whole. Avoid chewing the tablets as they may leave a bitter taste.
Topiramate can be administered before, after or during meals. Drink enough fluid during the day to prevent kidney stones while taking Topiramate Accord.

If you take more than you need Topiramate Accord
Immediately go to the doctor. Take the medicine pack with you.
You may feel sleepy or tired, or have abnormal body movements, problems with standing and walking, feel dizzy due to low blood pressure or have an abnormal heartbeat or seizures.
Overdose can occur if you take other medicines along with Topiramate Accord.

If you forget to take Topiramate Accord
Take the missed dose as soon as you remember. If it is almost time for your next dose, do not take the missed dose and just take your next dose at the regular time. If you miss two or more doses, contact your doctor.
Do not take a double dose to make up the missed dose.

If you stop taking Topiramate Accord
You can receive more frequent seizures or sudden strengthening of headaches. It is important to continue taking the tablets until your doctor tells you to stop them. If your doctor decides to stop your treatment with topiramate, then it will usually do so gradually over a period of several weeks. It is important to follow the instructions of the physician.

If you have any questions about using this product, ask your doctor or pharmacist.

4. Possible side effects
Like all medicines, Accord Topiramate may cause side effects, although not everybody gets them.
If you notice a rash, itching, blistering or other effects on the skin, eyes, mouth, or genitals, or have a fever, you should stop taking the tablets and immediately contact your doctor.
Patients taking topiramate Accord may wish to harming or killing themselves. If you ever have such thoughts, call your doctor or go to hospital.

The frequency of adverse reactions listed below is defined as follows:
very common (affects more than 1 in 10 people);
common (affects 1 to 10 in every 100 people);
uncommon (affects 1 to 10 users in 1,000 people);
rare (affects 1 to 10 users in 10,000 people);
very rare (affects less than 1 in 10,000 people);
is not known (can not be estimated from the available data).
The following side effects have been reported:
Very common side effects (probably seen in more than 1 in 10 people):
weight loss;
pins and needles;
dizziness or drowsiness;
stuffy, runny nose and sore throat;
Common side effects (presumably observed in less than 1 in 10 people):
changes in mood or behavior, including anger, anxiety, sadness;
reduction or loss of appetite;
reduced number of red blood cells;
changes in thinking and alertness, including confusion, problems with concentration, memory, slow thinking;
slurred speech;
clumsiness or trouble walking;
involuntary shaking of the hands, feet or hands;
reduced sense of touch;
involuntary eye movement;
changes in taste;
problems with vision, blurred vision, double vision;
ear pain;
shortness of breath;
flow of the nose;
stomach pain;
dry mouth;
tingling or numbness around the mouth;
kidney stones;
frequent urination;
painful urination;
hair loss;
skin rash and / or itchy skin;
joint pain;
muscle cramps, muscle twitching or weakness;
chest pain;
loss of strength;
general feeling of not feeling well;
allergic reaction.
Uncommon side effects (presumably observed in less than 1 in 100):
crystals in the urine;
abnormal number of blood cells, including low white blood cells or platelets, or increased eosinophils;
irregular heartbeat or slow heartbeat;
swollen glands in the neck, armpit or groin;
increase of seizures;
problems with verbal communication;
anxiety or increased mental and physical activity;
loss of consciousness;
slow or reduced movements;
impaired or a bad dream;
damaged or distorted sense of smell;
problems with handwriting;
sense of movement under the skin;
eye problems including dry eyes, sensitivity to light, involuntary twitching, damage and decreased vision;
reduced or loss of hearing;
inflammation of the pancreas;
loss of sensitivity to touch in the mouth;
bleeding gums;
fullness or bloating;
painful or burning sensation in the mouth;
odor of the breath;
leakage of urine and / or faeces;
urgent desire to urinate;
pain in the kidney and / or bladder, caused by kidney stones;
reduction or lack of sweating;
skin discoloration;
localized swelling of the skin;
swelling of the face;
joint swelling;
stiffness of muscles and bones;
increased acid levels in the blood;
low levels of potassium in the blood;
increased appetite;
increased thirst and drinking abnormally large amounts of fluid;
low blood pressure or lowering blood pressure that occurs when you stand up;
cold as a disease;
cold extremities (eg. hands and face);
learning problems;
disturbances in sexual function (erectile dysfunction, loss of libido);
reduced verbal communication;
increase in liver enzymes.
Rare side effects (presumably observed in less than 1 in 1000 people):
extreme sensitivity of the skin;
impaired sense of smell;
glaucoma, which is a blockage of the fluid in the eye, causing an increased pressure in the eye, pain and decreased vision;
renal tubular acidosis;
inflammation of the liver, liver failure;
severe skin reactions, including Stevens-Johnson syndrome, a skin condition that threatens the life, in which the upper layer of the skin is separated from the bottom, and erythema multiforme, red rash that may rupture;
swelling of the tissues around the eye;
Raynaud's syndrome. Disorder that affects blood vessels in the fingers, ears, and nose and causes pain and sensitivity to cold;
tissue calcification (calcinosis).
Side effects with unknown frequency:
Maculopathy is a disease of the macula, a small spot in the retina where vision is most acute. You should call your doctor if you notice a change or reduction in your vision;
Swelling of the conjunctiva of the eye;
Toxic epidermal necrolysis, which is a more severe form of Stevens-Johnson syndrome (see uncommon side effects).
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

5. How to store Topiramate tablets Accord
Keep out of reach of children.
Do not use Topiramate Accord after the expiry date which is stated on the carton and the bottle or blister after the expiry date (EXP). The expiry date refers to the last day of that month.
Do not store above 25 ° C. Keep bottle tightly closed to protect from moisture.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines that you no longer need. These measures will help to protect the environment.
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